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1 . resultTheodor Major Rudolph MD, FAAD

Specializes in MOHS-Micrographic Surgery, Pediatric Dermatology

1850 43rd Avenue; Suites 4 & 5 C
Vero Beach, FL
(772) 299-4000

Clinical interests: Birthmarks, Contact Dermatitis, Cosmetic Dermatology, Cutaneous T-Cell Lymphoma, Hair Disorders, ... (Read more)

Dr. Theodor Rudolph is a medical specialist in pediatric dermatology and MOHS-micrographic surgery. He speaks German. Dr. Rudolph's areas of expertise include contact dermatitis, birthmark, and hair problems. He studied medicine at the University of Colorado Denver School of Medicine. Dr. Rudolph is an in-network provider for Aetna, United Healthcare, and CIGNA, in addition to other insurance carriers.

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2 . resultDr. Donald Collier Proctor Jr MD
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Specializes in MOHS-Micrographic Surgery, Facial Plastic Surgery

1325 36th Street; Suite A
Vero Beach, FL
(772) 567-1164

Clinical interests: Facial Skin Cancer Specialist

Dr. Donald Proctor works as a facial plastic surgeon and mohs skin cancer surgeon. Areas of particular interest for Dr. Proctor include facial cancer and skin cancer. He takes Medicare insurance. He graduated from the University of South Florida (USF) College of Medicine.

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3 . resultDr. Robert J Loewinger MD
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Specializes in MOHS-Micrographic Surgery

49 Royal Palm Point; Suite 100
Vero Beach, FL
(772) 569-5056

(rated 5 in 1 rating)

Dr. Robert Loewinger is a physician who specializes in MOHS-micrographic surgery. He attended medical school at SUNY, University at Buffalo School of Medicine & Biomedical Sciences. Dr. Loewinger is in-network for Medicare insurance.

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What is MOHS-Micrographic Surgery?

Mohs micrographic surgery is a surgical treatment for skin cancer that was developed by Dr. Frederick Mohs in the 1930’s. It is the most effective technique for removing the most common types of skin cancer. For the two most common types of skin cancer, basal cell carcinoma and squamous cell carcinoma, Mohs has a 98-99% cure rate. The remarkable thing about Mohs is that it manages to be extremely good at removing all of the cancer cells while at the same time leaving behind most of the healthy tissue, so there is a smaller wound. This makes the procedure safer, speeds up the the recovery time, and minimizes scarring.

During Mohs surgery, skin around the cancer site is mapped out and removed in thin layers. Then each layer is examined under a microscope for cancer cells, while the surgery is in progress. If cancer cells are detected, the surgery continues and another layer is removed. If the skin is clear, the surgery can be stopped. This eliminates the guesswork for surgeons. There is no need to estimate the borders or roots of the cancer and no need to remove a margin of healthy tissue to ensure that all of the cancer is removed.

Even though Mohs has a high cure rate, is safer than other treatments, and takes less tissue, not every skin cancer is treated with Mohs. First, Mohs takes quite a bit longer than traditional surgery because each layer of skin must be carefully cut, prepped, and examined. It is also more expensive and may not always be covered by insurance. In addition, for smaller or less aggressive cancers that are easier to treat, the cure rate for non-Mohs treatments is close to that of Mohs; thus, the extra time and cost of Mohs might not be justified. Other kinds of skin cancer, such as melanoma, are hard to see under a microscope. Since melanoma is so dangerous, Mohs has traditionally not been used to treat it, as there is too much risk for missed cancer cells being left behind in the body. However, recent developments in stains (which make cancer cells more visible under a microscope) may change the role of Mohs in melanoma treatment.

Mohs microsurgery has changed the way doctors treat skin cancer in the past 80 years, and it continues to gain in popularity as it increases the effectiveness and safety of skin cancer treatment.

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